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Paracervical Block

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1. Paracervical Block for Intrauterine Device Placement Among Nulliparous Women: A Randomized Controlled Trial

Paracervical Block for Intrauterine Device Placement Among Nulliparous Women: A Randomized Controlled Trial To investigate whether a 20-mL buffered 1% lidocaine paracervical block decreases pain during intrauterine device (IUD) placement.In a randomized, single-blind, placebo-controlled trial, women were assigned to receive either a 20-mL buffered 1% lidocaine paracervical block or no block before IUD placement. The primary outcome was pain with IUD placement measured on a 100-mm visual analog (...) scale. Our sample size had 80% power (α=0.05) to detect a 20-mm difference in visual analog scale scores with a SD of 28 mm. Secondary outcomes included pain with speculum placement, paracervical block administration, tenaculum placement, 5 minutes postprocedure, and overall pain perception.From October 7, 2014, through October 26, 2017, 64 women were enrolled and analyzed (33 in the paracervical block arm, 31 in the no-block arm). There were no differences in baseline demographics between

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2018 EvidenceUpdates

2. Paracervical Block Versus No Paracervical Block During IUD Insertion

Paracervical Block Versus No Paracervical Block During IUD Insertion Paracervical Block Versus No Paracervical Block During IUD Insertion - Full Text View - ClinicalTrials.gov Hide glossary Glossary Study record managers: refer to the if submitting registration or results information. Search for terms x × Study Record Detail Saved Studies Save this study Warning You have reached the maximum number of saved studies (100). Please remove one or more studies before adding more. Paracervical Block (...) Versus No Paracervical Block During IUD Insertion The safety and scientific validity of this study is the responsibility of the study sponsor and investigators. Listing a study does not mean it has been evaluated by the U.S. Federal Government. Read our for details. ClinicalTrials.gov Identifier: NCT02904915 Recruitment Status : Completed First Posted : September 19, 2016 Results First Posted : November 7, 2018 Last Update Posted : November 7, 2018 Sponsor: The University of Texas Health Science

2016 Clinical Trials

3. Paracervical Block for Intrauterine Device Placement Among Nulliparous Women: A Randomized Controlled Trial. (PubMed)

Paracervical Block for Intrauterine Device Placement Among Nulliparous Women: A Randomized Controlled Trial. 30575660 2018 12 21 1873-233X 133 1 2019 Jan Obstetrics and gynecology Obstet Gynecol Paracervical Block for Intrauterine Device Placement Among Nulliparous Women: A Randomized Controlled Trial. 189 10.1097/AOG.0000000000003043 Levine Elliot M EM Department of Obstetrics and Gynecology, Advocate Aurora Health Illinois Masonic Medical Center, Chicago, Illinois. Fernandez Carlos M CM eng

2019 Obstetrics and Gynecology Controlled trial quality: predicted high

4. Regarding "Paracervical Block as a Strategy to Reduce Postoperative Pain After Laparoscopic Hysterectomy: A Randomized Controlled Trial". (PubMed)

Regarding "Paracervical Block as a Strategy to Reduce Postoperative Pain After Laparoscopic Hysterectomy: A Randomized Controlled Trial". 30872183 2019 09 01 1553-4669 26 6 2019 Sep - Oct Journal of minimally invasive gynecology J Minim Invasive Gynecol Regarding "Paracervical Block as a Strategy to Reduce Postoperative Pain After Laparoscopic Hysterectomy: A Randomized Controlled Trial". 1203 S1553-4650(19)30120-7 10.1016/j.jmig.2019.02.018 Lovett-Carter Danielle D Providence, RI. eng Letter

2019 Journal of minimally invasive gynecology Controlled trial quality: predicted high

5. Paracervical Block for Laminaria Insertion Before Second-Trimester Abortion: A Randomized Controlled Trial

Paracervical Block for Laminaria Insertion Before Second-Trimester Abortion: A Randomized Controlled Trial To evaluate the efficacy of a paracervical block to decrease pain during osmotic dilator insertion before second-trimester abortion.In this double-blind, randomized trial, 41 women undergoing Laminaria insertion before a second-trimester abortion received either a paracervical block with 18 mL 1% lidocaine and 2 mL sodium bicarbonate or a sham block. Women were between 14 and 23 6/7 weeks (...) of gestation. The primary outcome was pain immediately after insertion of Laminaria. Women assessed their pain on a 100-mm visual analog scale. Secondary outcomes included assessment of pain at other times during the insertion procedure and overall satisfaction with pain control. To detect a 25-mm difference in pain immediately after Laminaria insertion, at an α of 0.05 and 80% power, we aimed to enroll 20 patients in each arm.From May 2015 to December 2015, 20 women received a paracervical block and 21

2017 EvidenceUpdates

6. Effect of Paracervical Block Volume on Pain Control for Dilation and Curettage

Effect of Paracervical Block Volume on Pain Control for Dilation and Curettage Effect of Paracervical Block Volume on Pain Control for Dilation and Curettage - Full Text View - ClinicalTrials.gov Hide glossary Glossary Study record managers: refer to the if submitting registration or results information. Search for terms x × Study Record Detail Saved Studies Save this study Warning You have reached the maximum number of saved studies (100). Please remove one or more studies before adding more (...) . Effect of Paracervical Block Volume on Pain Control for Dilation and Curettage The safety and scientific validity of this study is the responsibility of the study sponsor and investigators. Listing a study does not mean it has been evaluated by the U.S. Federal Government. of clinical studies and talk to your health care provider before participating. Read our for details. ClinicalTrials.gov Identifier: NCT03736681 Recruitment Status : Recruiting First Posted : November 9, 2018 Last Update Posted

2018 Clinical Trials

7. Paracervical Block Volume and Pain Control During Dilation and Curettage

Paracervical Block Volume and Pain Control During Dilation and Curettage Paracervical Block Volume and Pain Control During Dilation and Curettage - Full Text View - ClinicalTrials.gov Hide glossary Glossary Study record managers: refer to the if submitting registration or results information. Search for terms x × Study Record Detail Saved Studies Save this study Warning You have reached the maximum number of saved studies (100). Please remove one or more studies before adding more. Paracervical (...) sedation in the clinic setting, and a key component of pain control is the paracervical block, or injecting lidocaine into the tissue around the cervix1-10. A paracervical block with 20cc of 1% buffered lidocaine has been proven to provide superior pain control than a sham paracervical block13. However, many providers often use similar doses of lidocaine in a higher volume to improve pain control4-5. At UCSD and UCLA, some providers routinely use a 20cc of 1% buffered lidocaine block and some routinely

2018 Clinical Trials

8. Paracervical Block as a Strategy to Reduce Postoperative Pain after Laparoscopic Hysterectomy: A Randomized Controlled Trial. (PubMed)

Paracervical Block as a Strategy to Reduce Postoperative Pain after Laparoscopic Hysterectomy: A Randomized Controlled Trial. To determine if performing a paracervical block with .5% bupivacaine before laparoscopic hysterectomy reduces postoperative pain.Double-blind randomized controlled trial (Canadian Task Force classification I).University-affiliated hospital.Women aged between 18 and 65 years scheduled to undergo total laparoscopic hysterectomy for benign indications.Eligible patients were (...) , defined as an average pain score of 4 or less. The χ2 test was used for comparison. Using this definition 25% of patients had successful pain control in the placebo group versus 71.4% in the treatment group. This was statistically significant (p = .003). Mean length of hospital stay (.65 vs .86 days, p = .44) was not statistically different.Performing a paracervical block with .5% bupivacaine before laparoscopic hysterectomy significantly reduces immediate postoperative pain. (ClinicalTrials.gov

2018 Journal of minimally invasive gynecology Controlled trial quality: predicted high

9. Lidocaine Spray Versus Paracervical Block During Loop Electrosurgical Excision Procedure: A Randomized Trial. (PubMed)

Lidocaine Spray Versus Paracervical Block During Loop Electrosurgical Excision Procedure: A Randomized Trial. The aim of the study was to compare the effectiveness of pain control between lidocaine spray (LS) and paracervical block (PB) with lidocaine during the loop electrosurgical excision procedure (LEEP).A single-blinded randomized controlled trial was conducted on 132 women who underwent LEEP of the cervix. The participants were randomly allocated to either a PB group or a LS group. The PB

2018 Journal of lower genital tract disease Controlled trial quality: predicted high

10. Use of Paracervical Block Before Laparoscopic Supracervical Hysterectomy. (PubMed)

Use of Paracervical Block Before Laparoscopic Supracervical Hysterectomy. Some patients who undergo laparoscopic hysterectomy request overnight admission for pain management, thus increasing costs for a surgery that is safe for same-day discharge. We wanted to evaluate whether a paracervical block of bupivacaine with epinephrine before laparoscopic supracervical hysterectomy would decrease overnight admission rates, postoperative pain, and pain medication requirement.This was a randomized (...) , double-blind, placebo-controlled, parallel-group trial (Canadian Task Force classification I) at an academic medical center. Patients undergoing laparoscopic supracervical hysterectomy were randomized to a 20-mL paracervical injection of either 0.25% bupivacaine with epinephrine or 20 mL normal saline before skin incision. All providers, except the circulating nurse, were blinded. The primary outcome was overnight hospital admission rate. Secondary outcomes included postoperative pain medication use

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2018 JSLS : Journal of the Society of Laparoendoscopic Surgeons Controlled trial quality: predicted high

11. Paracervical Block for Intrauterine Device Placement Among Nulliparous Women: A Randomized Controlled Trial. (PubMed)

Paracervical Block for Intrauterine Device Placement Among Nulliparous Women: A Randomized Controlled Trial. To investigate whether a 20-mL buffered 1% lidocaine paracervical block decreases pain during intrauterine device (IUD) placement.In a randomized, single-blind, placebo-controlled trial, women were assigned to receive either a 20-mL buffered 1% lidocaine paracervical block or no block before IUD placement. The primary outcome was pain with IUD placement measured on a 100-mm visual analog (...) scale. Our sample size had 80% power (α=0.05) to detect a 20-mm difference in visual analog scale scores with a SD of 28 mm. Secondary outcomes included pain with speculum placement, paracervical block administration, tenaculum placement, 5 minutes postprocedure, and overall pain perception.From October 7, 2014, through October 26, 2017, 64 women were enrolled and analyzed (33 in the paracervical block arm, 31 in the no-block arm). There were no differences in baseline demographics between

2018 Obstetrics and Gynecology Controlled trial quality: predicted high

12. Hysteroscopic polypectomy: a comparison between 22 Fr and 26 Fr resectoscopes under paracervical block anesthesia, a randomized controlled study. (PubMed)

Hysteroscopic polypectomy: a comparison between 22 Fr and 26 Fr resectoscopes under paracervical block anesthesia, a randomized controlled study. The aim of this study was to compare 22 Fr unipolar resectoscope with the traditional 26 Fr unipolar resectoscope in endometrial polypectomy performed under paracervical block anesthesia.The trial took place in Gynecologic Unit, Department of Surgery, Tor Vergata University Hospital, Rome. Inclusion criteria were: diagnosis of endometrial polyps <3 cm (...) at office hysteroscopy; agreement of patients to perform surgery under paracervical block anesthesia but not in office setting. Patients with ASA physical status classes III or more and with contraindication to operative hysteroscopy were excluded. Before the procedure, the recruited patients were randomly assigned to two groups, 35 to the 22 Fr unipolar resectoscope group (group A) and 35 to the 26 Fr unipolar resectoscope group (group B). Primary endpoint was the time spent for cervical dilatation

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2018 Minimally invasive therapy & allied technologies : MITAT : official journal of the Society for Minimally Invasive Therapy Controlled trial quality: uncertain

13. Paracervical Block for Intrauterine Device Placement Among Nulliparous Women: A Randomized Controlled Trial. (PubMed)

Paracervical Block for Intrauterine Device Placement Among Nulliparous Women: A Randomized Controlled Trial. To investigate whether a 20-mL buffered 1% lidocaine paracervical block decreases pain during intrauterine device (IUD) placement.In a randomized, single-blind, placebo-controlled trial, women were assigned to receive either a 20-mL buffered 1% lidocaine paracervical block or no block before IUD placement. The primary outcome was pain with IUD placement measured on a 100-mm visual analog (...) scale. Our sample size had 80% power (α=0.05) to detect a 20-mm difference in visual analog scale scores with a SD of 28 mm. Secondary outcomes included pain with speculum placement, paracervical block administration, tenaculum placement, 5 minutes postprocedure, and overall pain perception.From October 7, 2014, through October 26, 2017, 64 women were enrolled and analyzed (33 in the paracervical block arm, 31 in the no-block arm). There were no differences in baseline demographics between

2018 Obstetrics and Gynecology Controlled trial quality: predicted high

14. Haemodynamic stability after paracervical block: A randomized, controlled, double-blind study comparing bupivacaine-adrenaline with bupivacaine. (PubMed)

Haemodynamic stability after paracervical block: A randomized, controlled, double-blind study comparing bupivacaine-adrenaline with bupivacaine. Paracervical block is widely used in gynaecological interventions on cervix and uterus. Many surgeons add adrenaline 100 μg or pitressin 3-5 IU in a total volume of 10-20 mL to reduce total blood loss. We wanted to examine haemodynamic stability in healthy patients given bupivacaine with and without adrenaline.In this randomised, double-blinded (...) , controlled study, 30 healthy women scheduled for cervical conisation got a paracervical block using bupivacaine 50 mg with adrenaline 100 μg (BA-group, n = 14) or without adrenaline (B-group, n = 16) after induction of general anaesthesia. LiDCOplus was used for minimally invasive haemodynamic monitoring. Changes in cardiac output (CO) and systolic blood pressure (SBP) were the primary outcome. Changes in heart rate (HR), stroke volume (SV), and systemic vascular resistance (SVR) were secondary outcome

2018 Acta Anaesthesiologica Scandinavica Controlled trial quality: predicted high

15. Addition of Neostigmine and Tramadol to 1.5 % Lidocaine for paracervical block to reduce post-operative pain in colporrhaphy (PubMed)

Addition of Neostigmine and Tramadol to 1.5 % Lidocaine for paracervical block to reduce post-operative pain in colporrhaphy Pain is a complex and multi-faceted human perception and several factors could dampen the pain. Therefore, we aimed to comparison of addition of neostigmine and tramadol to 1.5 % lidocaine with paracervical block in reduce of post-operative pain in colporrhaphy. This study was a randomized and double-blind clinical trial for 108 patients' as candidate for colporrhaphy

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2018 European journal of translational myology Controlled trial quality: uncertain

16. Cervical Preparation of Abortions Under Paracervical Block in the First Trimester:

Cervical Preparation of Abortions Under Paracervical Block in the First Trimester: Cervical Preparation of Abortions Under Paracervical Block in the First Trimester: - Full Text View - ClinicalTrials.gov Hide glossary Glossary Study record managers: refer to the if submitting registration or results information. Search for terms x × Study Record Detail Saved Studies Save this study Warning You have reached the maximum number of saved studies (100). Please remove one or more studies before (...) adding more. Cervical Preparation of Abortions Under Paracervical Block in the First Trimester: (BPCEN) The safety and scientific validity of this study is the responsibility of the study sponsor and investigators. Listing a study does not mean it has been evaluated by the U.S. Federal Government. of clinical studies and talk to your health care provider before participating. Read our for details. ClinicalTrials.gov Identifier: NCT03043014 Recruitment Status : Not yet recruiting First Posted

2017 Clinical Trials

17. Buffered Lidocaine in Paracervical Blocks

Buffered Lidocaine in Paracervical Blocks Buffered Lidocaine in Paracervical Blocks - Full Text View - ClinicalTrials.gov Hide glossary Glossary Study record managers: refer to the if submitting registration or results information. Search for terms x × Study Record Detail Saved Studies Save this study Warning You have reached the maximum number of saved studies (100). Please remove one or more studies before adding more. Buffered Lidocaine in Paracervical Blocks The safety and scientific (...) of Hawaii Study Details Study Description Go to Brief Summary: For pain relief during a first trimester surgical aspiration, most providers use the paracervical block, either alone or in combination with other pain control techniques. Some providers use buffered lidocaine due to a belief that it decreases pain. Others use plain lidocaine. At our clinics, the standard pain management protocol is using 20 cc of 1% plain lidocaine in a two site injection. Few studies have compared buffered versus

2017 Clinical Trials

18. Paracervical Block for Laminaria Insertion Before Second-Trimester Abortion: A Randomized Controlled Trial. (PubMed)

Paracervical Block for Laminaria Insertion Before Second-Trimester Abortion: A Randomized Controlled Trial. To evaluate the efficacy of a paracervical block to decrease pain during osmotic dilator insertion before second-trimester abortion.In this double-blind, randomized trial, 41 women undergoing Laminaria insertion before a second-trimester abortion received either a paracervical block with 18 mL 1% lidocaine and 2 mL sodium bicarbonate or a sham block. Women were between 14 and 23 6/7 weeks (...) of gestation. The primary outcome was pain immediately after insertion of Laminaria. Women assessed their pain on a 100-mm visual analog scale. Secondary outcomes included assessment of pain at other times during the insertion procedure and overall satisfaction with pain control. To detect a 25-mm difference in pain immediately after Laminaria insertion, at an α of 0.05 and 80% power, we aimed to enroll 20 patients in each arm.From May 2015 to December 2015, 20 women received a paracervical block and 21

2017 Obstetrics and Gynecology Controlled trial quality: predicted high

19. Effectiveness of paracervical block for pain relief in women undergoing hysterosalpingography. (PubMed)

Effectiveness of paracervical block for pain relief in women undergoing hysterosalpingography. To evaluate the potential benefit, in terms of pain relief, of the paracervical block with 2% lignocaine in women undergoing hysterosalpingography (HSG).This study was a prospective randomized controlled study.This study was conducted in infertility clinic of a tertiary care center.Four hundred and six patients undergoing HSG as a part of infertility evaluation were included in the study. These women (...) were randomized into two groups: Group I received paracervical block with 2% lignocaine at the time of HSG (n = 53) and Group II (n = 53) served as control. Hyoscine (10 mg) oral tablet was given to all the patients 30 min before the procedure. Pain perception during the procedure was analyzed by the patient between 0 and 10 on a numeric rating scale, immediately after HSG.The baseline demographic characteristics of participants in two groups were similar. Mean pain score immediately after HSG

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2017 Journal of human reproductive sciences Controlled trial quality: uncertain

20. Paracervical Block for Laminaria Insertion Before Second-Trimester Abortion: A Randomized Controlled Trial. (PubMed)

Paracervical Block for Laminaria Insertion Before Second-Trimester Abortion: A Randomized Controlled Trial. To evaluate the efficacy of a paracervical block to decrease pain during osmotic dilator insertion before second-trimester abortion.In this double-blind, randomized trial, 41 women undergoing Laminaria insertion before a second-trimester abortion received either a paracervical block with 18 mL 1% lidocaine and 2 mL sodium bicarbonate or a sham block. Women were between 14 and 23 6/7 weeks (...) of gestation. The primary outcome was pain immediately after insertion of Laminaria. Women assessed their pain on a 100-mm visual analog scale. Secondary outcomes included assessment of pain at other times during the insertion procedure and overall satisfaction with pain control. To detect a 25-mm difference in pain immediately after Laminaria insertion, at an α of 0.05 and 80% power, we aimed to enroll 20 patients in each arm.From May 2015 to December 2015, 20 women received a paracervical block and 21

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2017 Obstetrics and Gynecology Controlled trial quality: predicted high

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